Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.49 / $60.07 / $87.11	Facility	26	$23.49	$60.07	$87.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $114.93 / $312.99	Professional		$63.24	$114.93	$312.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.49 / $33.99 / $110.53	Professional	26	$23.49	$33.99	$110.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $722.68 / $722.68 / $722.68	Professional	50	$722.68	$722.68	$722.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.87 / $78.92 / $125.90	Professional	TC	$12.87	$78.92	$125.90
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.74 / $105.82 / $210.71	Facility	26	$100.74	$105.82	$210.71
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $119.01 / $575.39	Professional		$59.00	$119.01	$575.39
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $54.06 / $253.44	Professional	26	$30.74	$54.06	$253.44
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $13.05 / $48.40 / $443.81	Professional	TC	$13.05	$48.40	$443.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $140.63 / $398.14	Professional		$82.35	$140.63	$398.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $80.56 / $106.57	Professional	26	$58.34	$80.56	$106.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $17.98 / $150.49	Professional	TC	$17.98	$17.98	$150.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $138.22 / $281.63	Professional		$68.93	$138.22	$281.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $57.52 / $118.59	Professional	26	$32.83	$57.52	$118.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $46.56 / $208.11	Professional	TC	$14.65	$46.56	$208.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $58.09 / $98.42	Professional		$14.63	$58.09	$98.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $134.80 / $183.61	Professional		$96.67	$134.80	$183.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $103.94 / $137.11	Professional	26	$52.43	$103.94	$137.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $13.11 / $25.67 / $34.28	Professional	TC	$13.11	$25.67	$34.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $68.19 / $93.85	Professional		$51.93	$68.19	$93.85
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $101.38 / $210.71 / $210.71	Facility	26	$101.38	$210.71	$210.71
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $128.85 / $575.39	Professional		$80.20	$128.85	$575.39
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.29 / $44.97 / $253.44	Professional	26	$28.29	$44.97	$253.44
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $74.34 / $443.81	Professional	TC	$21.91	$74.34	$443.81
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $111.73 / $192.60	Professional		$79.04	$111.73	$192.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.29 / $41.76 / $129.97	Professional	26	$28.29	$41.76	$129.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $55.79 / $123.42	Professional	TC	$17.97	$55.79	$123.42